| NPI | 1750483632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101268338) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA07938300) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 220095) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2021-02-26 |